USMLEGladiator
2009 & still in race
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39. A 57-year-old woman with breast cancer comes to the physician because of increasing neck pain over the past 3 days. She has fallen frequently because of muscle weakness. Vital signs are within normal limits. Examination shows hyperreflexia of all extremities. There is tenderness over the cervical spine. Serum calcium level is 11 mg/dL. X-ray films show metastases to the cervical spine. Which of the following is the most appropriate next step in management?
A
) Application of a soft cervical collar
B
) Physical therapy
C
) Mithramycin therapy
D
) Tamoxifen therapy
E
) Spinal cord decompression and cervical stabilization
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Chance favors only the prepared mind. - Louis Pasteur.
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| USMLEGladiator
2009 & still in race
Topics: 135
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d or e
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Chance favors only the prepared mind. - Louis Pasteur.
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| USMLEGladiator
2009 & still in race
Topics: 135
Posts: 509
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what r m/m steps for breast ca mets?
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Chance favors only the prepared mind. - Louis Pasteur.
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| azmeer
Forum Newbie
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the answer could be E cause if u choose d then u must estimate the estrogen-progestrone receptors in the breast ca inoder to be work succefully even so ,it takes days to work , spinal cord decompresion with radiotherpy then stabilizer with coller i guess it's the correct answer !!!
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alhamadani
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| liliaeliz
Forum Elite
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E
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sos el sol de mis dias
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